Date : 07/19/96
Page : 1

392 [44 USC 2107 Nate). Caset:Nw JFK ASSASSINATION SYSTEM
wie ee IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : INSCOM/CSF ;
RECORD NUMBER : 194-10012-10409
RECORDS SERIES : DOD-AFFILIATED PERSONNEL AND INCIDENT INVESTIGATIONS
AGENCY FILE NUMBER : ZFO00003W - PAGES 797-799

DOCUMENT INFORMATION

ORIGINATOR : USA
FROM : [ RESTRICTED ]
TO :
TITLE : AGENT REPORT
DATE : 10/05/67
PAGES : 3
SUBJECTS : SLOVODA, VLADIMIR

REPORT OF FINDINGS-»
POSSIBLE SENSITIVE DESERTION
SIMONS, PETER K.
FIELD 201 FILE
DOCUMENT TYPE : PAPER, TEXTUAL DOCUMENT
CLASSIFICATION : UNCLASSIFIED
RESTRICTIONS : 3
CURRENT STATUS : RELEASED WITH DELETIONS
DATE OF LAST REVIEW : 03/20/95

OPENING CRITERIA
COMMENTS

NW 60613 Docid:34531096 Page 1

1, NAME OF SUSJECT O8 TITLE OF INCIDENT

a

Possible Sensitive Desertion

Pea EN
AGENT REPORT

(AR 381-130; FM 30-17) |

4. REPORT OF FINDINGS

following information:

Name: -

Rank:

Service Number:
’ SSAN;:

DOB;

POB;

Citizenship:

BPED:

BETS:

Marital Status:

Religious Preference:
' Father:

Mother:

Step-Father:

' Physical Profile:
Physical Description:

Civilian Education:

Civilian Employment:

Apti tude Test. Scores:

Ti entde

Protective 2

5. TYPED NAME AND ORGANIZATION OF SPECIAL AGENT |

FORM
1 APR 52 REPLACES WD AGO FO!

(FIELD 201 FILE) On 5 October 1967, the 201 File of Peter K. Simona,
Specialist 4, RA 19 841 799, was examined and revealed substantially the \

Specialist 4 (E4)

> May 1945

German, Alien Registration Tunber, A 13 022 5273

ing is Exeluded Prof? . . .
Automatic Termination (Par YO. AK Sd5.Jag : 7 9 / , (CONTINUED) :

WILLIAM F. MOCKLER, 501st MI Det (Arnd Div)

3. CONTROL SYMBOL OR FILE NUMBER . ,

Peter Karl Simons

RA 19 841 799
550~66=6254

Cottbus, Germany _

Date of entry, 8 August 1962; Port of entry, New

York, New York.

28 April 1965

27 April 1963

Single

Roman Catholic ;

Karl-Heinz Simons; POB: Saarland, Germany, DOB:

Unknown; Fresent Address: Unknown.

Agnes Fries; POB: Essen, Germany, DOB:

17 September 1920; Present Address:

Cheruskerstr 49, Duesseldorf, W, Germany,

Richard Westlake; POB: Unknown; DOB: Unknown;

Present Address: Veston-Super-Nare, Somerset,

England.

PULHES 111 121, Code B, 28 August 1965

Age, 24; Sex, Male; Height, 73"; ‘ieight, 1787;

Hair, Brown; Eyes, Brown; Scars or marks, None.

55-59, Martin-Buteer; Dierdorf, W. Germany, Graduated;

59-62, Dierdorf Handesischule, Duesseldorf, Germany,

Graduated.

‘Apr 59eApr 62, Deurogmbh, Berliner Alee 29, buesseldort,

Germany; Supervisor, Mr Grosskopf, Reason left (RL),

immigrate to US; Apr 62-Jul 64, AimSea Forwarders Inc,

406 S. Main St., Los Angeles, Califomia, Supervisor, 1

Mr Rautenberg, RL, Better future; Jul-Sep 64, Liberty

Engineering Co., Culver City, Calif., Supervisor, Hr.

Kilmer, RL, quit; Sep-Oct 64, Sightseeing in New York;

Oct 64—-Apr 65, Harper-Robinson & Co., 354 S. Spring St.,|

Los Angeles, Supervisor, Mr Caranea, RL, Joined Arny; :

Apr 65 to present, US Army.

IN, 111; AE, 103; EL, 103; Gil, 102; MM, 115, CL, 123;
106. :

6. SIGNATURE OF SPECIAL AGENT ~

Wibteim. f Mivelitte

NW 60613 Docid:34531096 Page 2

2. DATE SUBMITTED ; |
5 October 1967

pe nested eet nner enn ence ne fe enema ee mE TREE OTTER OT pees see


CIAL
AGENT REPORT

(AR 381-130; FM 30-17)

2. DATE SUBMITTED

5 October 1967 | 7

3. CONTROL SYMBOL OR FILE NUMBER

Military Education: Rad Rel Carr Attend, MOS 31M20, Signal
Corps, 12 weeks, 1965

1. NAME OF SUBJECT OR TITLE OF INCIDENT

Possible Sensitive Desertion

© .
4 REPORTOFFINOINGS (PIETD 201 FILE) (Continued

Record of Non-Judicial

Punishment: None
Record of Courts Martial: None
DD Form 39S: ; Executed, unqualified dated 1 October 1965
DD Form 9&:_ Executed, unqualified dated 28 April 1965
Security Clearance: None; Background investigation requested

by. the ACofS, G2, Fort Gordon, Georgia,
on 4 October 1965, UP AR 614-280 for
retention of Simons in Militery Service
Civilian Foreign Travel: 53 to 54, Great Britain, Schooling; Apr 56
a to Aug 56, Great Britain, Schooling; fug 57
to Sep 57, Italy, Vacation; Jul 61 to Sep 61,
France, Vacation; Simons has also been in the
following countries for sight seeing purposes
from 1957 to 1965, Denmark, Austria, Belgiun,
Switzerland, Mexico, Holland, Iuxemburg, France,
a and Spain ~ ; - ,
Foreign Service: — 14 Nov 65 to 27 Nov 66, USAREUR Germmny
Promotions/Reductions ! PVT El (P) 8 Apr 65 AR 601+210
- PVT B2 (P) 28 Aug 65 Far 7-19 AR 600-200
PFC E3 (P) 4 dan 66 Par 1 UOs4, Co B, 32d Sig Bn
APO 757
SPA BA (fT) U0#32, Co B, 32dSig Bn, AFO 09757

Chronology of Military Loot .
Services 28 Apr 65 USARECSTA (4075) FT POLK LA
10 May 65 CoElBn2TngBDE Ft Polk Ia
17 Jul 65 StuCoS USASESCS I Gordon, GA
16 Nov 65 CoB 32dSigBn APO 09757
25 Nov 65 Enroute to Conus _
9 Jan 67 CoC l4lstSigBn lst AD Ft Hood,Tex
_ : “8 Jun 67) A9thSigPlatoon, 19SthIn*Bde, FtHd, Tex
Remarks Remarks: . _
1. Simons identification card reported lost to Provost Marshal,
17. August 1967, issued new identification card,
2. Special Order Number 31, Headquarters, 198th Infantry Brigade,
Fort Hood, dated 19 August 1967, authorized ordinary leave for Simons
effective 1 September 1967, for 20 days. Leave address: Cberlindau 89.
Frankfurt-iain, Germany. Special Instruction: EM will report to the
Army atiache at the American Embassy, or to the Commander of the USA
Element, as appropriate. . oo
3. Simons enlisted under the Buddy Assignment Plan, with one
Michael C. Morgan, RA 19 &41 794, for further assignment to USSREUR.
Protective Morking is Exeluded From TGR : (CONTINUED)
S. THREE OME IANO’ PEGANZATION AF SEG ADEN, 345-15)

6, SIGNATURE OF SPECIAL AGENT
7 / “ f,

- | WILLTAM F, MOCKLER, 5OlstMI Det (Armd Div) . Miia 2

DA Vis BAD srces wo nco 16H. NTE MAH Mh HAE CNTY

NW 60613 Docid:34531096 Page 3

(AR 381-130; FM 30-17)

1. NAME OF SUBJECT OR THLE OF INCIDENT

| Possible Sensitive Desertion

4 Reront or Foss (TTELD 201 FILE) (Continued

4. Simons drew advance pay'o
$60 a month for six months.

Proteetive Marking is Exeluded Prom
Automatic Termination (Par 19, AR 345-15)

3. TYPED NAME ANO ORGANIZATION OF SPECIAL AGENT

WILLIAM F, MOCKLER, 501st MT ost (frm Div) |

FORM
1 APR $2 REPLACES WD

“AGENT.

REPORT

2. DATE SUBMITTED
5 October 1967

3. CONTROL SYMBOL OR FILE NUMBER

f $360, 16 Aug 67, to be remid

199

6. SIGNATURE oF SPECIAL AGENT ue

TE £40. a Kiseklet!

NW 60613 Docid:34531096 Page 4

Tene hernia event genta ena

